BMJ

Patient behaviour at the time of stroke onset: a cross-sectional survey of patient response to stroke symptoms

Correspondence to Dr Lisa Mellon, Division of Population Health Sciences, Department of Psychology, Royal College of Surgeons in Ireland, Dublin 2, Ireland; lisamellon{at}rcsi.ie Background and ...
BMJ

Paracetamol overdose: an evidence based flowchart to guide management

National Poisons Information Service, Guy's and St Thomas' NHS Trust, London, UK Correspondence to: Dr A Jones, National Poisons Information Service, Guy's and St Thomas' NHS Trust, Avonley Road, ...
BMJ

Pre-hospital aspirin for suspected myocardial infarction and acute coronary syndromes: A headache for paramedics?

1 Pre-hospital Emergency Research Unit, University of Wales College of Medicine/Welsh Ambulance Services NHS Trust, Cardiff, UK 2 Department of Epidemiology, Statistics, and Public Health, University ...
BMJ

The implications of the NICE guidelines on neurosurgical management for all severe head injuries: systematic review

4 Professor of Health Care Evaluation, Department of Epidemiology and Public Health, University College London, London, UK Correspondence to Dr Helen Barratt, Academic Clinical Fellow, Health Care ...
BMJ

Case based learning—a review of the literature: is there scope for this educational paradigm in prehospital education?

This paper discusses the findings of a literature review of case based learning (CBL) from a multidisciplinary health science education perspective and attempts to draw comparisons with the available ...
BMJ

USING A CLINICAL PHARMACIST IN THE EMERGENCY DEPARTMENT

Objectives & Background UK urgent and emergency care (UEC) services are facing significant increased patient demand alongside a shortage of medical and nursing staff. From the early 2000's pharmacy ...
BMJ

Lisfranc fracture dislocation: a review of a commonly missed injury of the midfoot

1 Department of Orthopaedic Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia Musculoskeletal trauma to the foot is a common presentation to EDs. A Lisfranc fracture dislocation ...
BMJ

Self-inflating bag or Mapleson C breathing system for emergency pre-oxygenation?

Background: A crossover study was performed in healthy volunteers to compare the efficacy of a self-inflating bag with the Mapleson C breathing system for pre-oxygenation. Method: 20 subjects breathed ...
BMJ

Comparison of a long spinal board and vacuum mattress for spinal immobilisation

Objectives: This study was designed to compare the stability and comfort afforded by the long spinal board (backboard) and the vacuum mattress. Methods: Nine volunteers wearing standardised clothing ...
BMJ

Blunt chest trauma in the elderly: an expert practice review

Correspondence to Dr Fraser Birse, Emergency Department, Southmead Hospital, North Bristol NHS Trust, Bristol BS10 5NB, UK; fraserbirse{at}gmail.com UK Trauma data collected by Trauma Audit and ...
BMJ

Accuracy of emergency medical dispatchers’ subjective ability to identify when higher dispatch levels are warranted over a Medical Priority Dispatch System automated protocol ...

Correspondence to: Jeff Clawson MD, International Academies of Emergency Dispatch, 139 East South Temple, Suite 200, Salt Lake City, Utah 84111, USA; jeff.clawson{at}emergencydispatch.org Objectives: ...
BMJ

EXCELLENCE REPORTING (GREATIX): CREATING A DIFFERENT PARADIGM IN IMPROVING SAFETY AND QUALITY

Objectives & Background The NHS safety culture predominantly focuses on negative events with staff being encouraged to report incidents via online tools such as IR1 or Datix. Obligations in relation ...